Sequoia Senior Solutions Application Form

Application Form

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age sex, religion, disability, medical condition, national origin, or marital status.

Section 3 - Employment History (last 4 employers)

CURRENT EMPLOYER: please list the name of the company, the name of your supervisor, phone number so we may contact him/her, start and end date, position and duties, reason for leaving (suggestion: you may want to copy this info from your resume).

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.